Flashcards in Cardiomyopathy in Pregancy: Apostolakis-Kyrus Deck (20):
What is GPTPAL?
G: Gravida: how many pregnancies
P: How many babies
What is a normal ejection fraction?
What is a hysterotomy?
CSection for mother, needed for her survival
What is definition of peripartum cardiomyopathy?
Development of cardiac failure in the last month of pregnancy, or within 5 months of delivery
Absence of previous HF, no identifiable cause.
Left ventricular systolic dysfunction demonstrated by classic echo criteria: depressed shortening fraction or ejection franction
What is CM of pregnancy, in terms of diagnosis?
Diagnosis of exclusion
What are viral causes of peripartum cardiomyopathy?
Herpes virus 6
What are risks for PPCM?
Hx of PP CM
Extremes of age
multiple gestation: more work
What is the main risk factor for PP CM ?
What are S/Sx of PP CHF?
What do you see on CXR of PPCM?
What is EF definition of PPCM?
TEST: Less than 45%
NOT TEST: Or fraction shortening less than 30%
Right ventricular end diastolic dimension greater than 2.7cm (WIDENING!)
What is broad Tx of PPCM?
Diuretics: reduce preload
Hydralazine: reduce after load
Digoxin: inotorpic, more efficient
Heparin: prophylactic for stroke
What is the immediate mortality of PPCM?
What is important to counsel in terms of pregnancy after birth?
Do not get pregnant for the next year!
75% of peole need more than a year to get back up to an EF of >50%
Which is better, idiopathic myopathy or pregnancy myopathy?
Pregancy! most people recover within a year or two
What is 10 year survival of PP CM? Idopathic? HIV?
We have to diagnose correctly!
What is the time breaking point for PP CM long term risk in terms of morbidity and mortality?
Recover within 6 months: great
Not recovered 6 months: higher
What percent of women will have CM in the next pregnancy?